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腹腔镜早期子宫内膜癌手术临床疗效分析 被引量:5

Clinical Analysis of Staging Laparoscopic Surgery for Early-stage Endometrial Cancer
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摘要 目的:探讨腹腔镜下早期子宫内膜癌分期手术与开腹手术的临床疗效的差异。方法:回顾性研究2008年1月~2012年10月在我院行子宫内膜癌分期手术的84例患者临床资料,手术病理分期为IA^II期。其中腹腔镜分期手术40例,开腹分期手术44例,比较2组手术时间、术中出血量、淋巴结清扫数目、术后胃肠功能恢复时间、并发症、术后住院时间。结果:腹腔镜组手术时间长于开腹组,两者相比具有统计学意义(P<0.05);腹腔镜组术中出血量显著少于开腹组(P<0.05);淋巴结清扫总数显著多于开腹组(P<0.05);腹腔镜组在排气时间、尿管拔除时间、术后出院时间均显著早于开腹组(P<0.05);两者并发症方面无统计学差异(P>0.05)。结论:腹腔镜分期手术较开腹手术更具微创价值,是治疗早期子宫内膜癌稳妥可行的选择。 Objective: To compare outcomes between laparoscopic staging surgery and traditional laparotomy for the treatment of early-stage endometrial cancer.Methods: We retrospectively analyzed the medical records of 84 patients with endometrial cancer of stage IA to II who received staging surgery form January 2008 to October 2012..Laparoscopy was carried out in 40 of the patients and the other 44 patients received laparotomy.The operation time,intraoperative blood loss,mounts of lymph node removed,postoperative recovery time of gastrointestinal function,complications and postoperative hospital stay were compared.Results: The laparoscopy group had longer operation time than laparotomy group and there is a significant difference between the two groups(P0.05);the laparoscopy group had less intraoperative blood loss,more removed lymph nodes,quicker post-operative rehabilitation of the digestion tract,shorter urinary drainage time and shorter postoperative hospital stay than the laparotomy group(P0.05).No significant difference was observed in the complications(P0.05).Conclusion: Laparoscopic surgery was superior to the open surgery and it can be considered a good therapeutic option for early-stage endometrial cancer.
出处 《现代生物医学进展》 CAS 2013年第13期2489-2492,共4页 Progress in Modern Biomedicine
基金 国家自然科学基金项目(30973200)
关键词 子宫内膜癌 腹腔镜 开腹手术 Endometrial cancer Laparoscopy Laparotomy
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参考文献20

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共引文献8

同被引文献42

  • 1王昕,童晓文,洪孚卿,邵凌云.腹腔镜手术与腹式手术治疗子宫内膜癌Ⅰ~Ⅱ期患者的临床疗效分析[J].中国肿瘤临床与康复,2007,14(2):118-120. 被引量:8
  • 2Haiyan Zhang,Zhi Zuo,Ye Wang,Li Wang,Zhiling Zhu.A cohort study evaluating paraaortic lymphadenectomy in endometrialcancer[J].Oncology Letters.2012(6)
  • 3H.S. Kim,H.Y. Kim,C.Y. Park,J.M. Lee,J.K. Lee,C.H. Cho,S.M. Kim,J.W. Kim.Lymphadenectomy increases the prognostic value of the revised 2009 FIGO staging system for endometrial cancer: A multi-center study[J].European Journal of Surgical Oncology.2011(3)
  • 4Jong Woon Bae,Jung Hun Lee,Joong Sub Choi,Chang Eop Son,Seung Wook Jeon,Jin Hwa Hong,Jeong Min Eom,Kwan Joong Joo.Laparoscopic lymphadenectomy for gynecologic malignancies: evaluation of the surgical approach and outcomes over a seven-year experience[J].Archives of Gynecology and Obstetrics.2012(3)
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  • 8刘海防,陈旭,刘彦,金志军.Ⅰ期子宫内膜癌患者腹腔镜手术后中长期随访比较研究[J].中国微创外科杂志,2009,9(4):299-301. 被引量:7
  • 9焦海宁,龙雯晴,彭远飞,沈育红,喇端端.腹腔镜手术与开腹手术治疗早期子宫内膜癌的对比分析[J].中国肿瘤临床与康复,2009,16(4):316-318. 被引量:5
  • 10刘开江,刘青,李培全,唐杰,张国庆.腹腔镜手术治疗宫颈癌、子宫内膜癌的近期疗效分析[J].中国内镜杂志,2010,16(8):803-806. 被引量:47

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